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04-3805 (RC)13U1LD1NG-LR7 AFETY DEPARTNISNT P.O. Box 1504 (760).777-7012 78-495 CALLE TAMPICO FAX (7 .60) 777-7011. LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number: . . . 04=000"03805' Date 4/30/04 Property Address ... . . . . 78'805 -HIGHWAY 111 APN: 643-020-999-4 -30903 - Tenant nbr, name REVISION Application description . . . REMODEL - COMMERCIAL Property Zoning . . . . . . REGIONAL COMMERCIAL Application valuation 10000 Owner Contractor' ; ------------------------ WASHINGTON 111 LTD ------------------------ FRY C/O JOHN ANDERHOLT P 0 BOX 1623 PALM DESERT CA 92261 ------ Structure Information CHANGE ATM TO DRIVE -UP WINDOW ----- Construction Type . . . . . TYPE V - NON RATED Occupancy Type . . : . . . BUSINESS <50 Flood Zone . . . . . . . . NON -AO FLOOD ZONE Other'struct info . . . . . CODE EDITION 2001 CBC FIRE SPRINKLERS YES -----------------------------------------------------------------=---------- Permit . . . . . . BUILDING PERMIT Additional desc Permit Fee 117.00 Plan Check Fee 76.05 Issue Date Valuation . . . 10000 9-. Qty Unit Charge Per Extension BASE FEE 45.00 8.00 9.0000 --------------------------------------------------------------'------------- THOU BLDG 2,001-25,000 72.00 Permit- . . . . . . ELECT - ADD/ALT/REM Additional'desc Permit Fee . . . . 16.50 Plan Check Fee 4.13 Issue Date . . . . Valuation . . . . 0 Qty Unit -Charge Per Extension BASE FEE 15.00 2.00 .7500 --------=------------------------------------------------------------------- PER ELEC DEVICE/FIXTURE 1ST 20 1.50 Permit . . . . . . MECHANICAL Additional desc Permit Fee 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation . . . . 0 P.O. BOX 1504 • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-5153 BUILDING & SAFETY DEPARTMENT Application Number: 011�-4 — Applicant: - Cdti7_111/�e 7al� Applicant's Mailing Address: Dateq Architect or Engineer, Architect or Engineer's Address: Cosi Lic. No.:—C Z 66� t3UILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License�y n full force and effect. _ 2 /License Class I, !S % License No. c^ P/Date �-"y`yContractor L , OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): U I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. , BA P.C. for this reason Date Owner, WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is ss ed My yy�orkers' compensation insurance carrier and 25I' number are: Carrier S� {uT lr R.2 C1 / Policy Number _23_ I certify that, in the performance of the work for which this permit is issued, I shafrnot employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisi s.Date"� Applieant WARNING: FAILURE TO SECURE WO RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perju at there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name - Lender's�Address APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above inform • is Corr I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to ter upon the ove-mentioned property for inspection purposes. Dater �'V�-/t,Signature'(Applicsnt or Agent): 1 Page 2 'Application,Number . . . . . 04-00003805 Date 4/30/04 Qty. Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH APPL REP/ALT/ADD 9.00 ---------------------------------------------------------------------------- Special Notes and Comments CHANGE ATM TO A DRIVE UP WINDOW.NEED TO UP DATE CONTRACTORS INFORMATION. ---------------------------------------------------------------=------------ Other Fees . . . . . . . STRONG MOTION (SMI) - COM 2.10 Fee summary Charged Paid Credited Due Permit Fee Total 157.50 .00 .00 157.50 Plan Check Total 86.18 .00 .00 86.18 Other Fee Total 2.10 .00 .00 2.10 Grand Total 245.78 .00 .00 245.78 x/2004 07:59 FAX 7148001978 CALLISON-C.M.CA 0 001 May 7, 2004 it' Armour Unsderfer Engine'ering, LLC 13456 SE 2V Place, SuK9 200, Bellevue, WA 98005 614 - 0949 FAX (425) 614 - 0950 Mr. Jeremy Grant Callison Architecture, Inc. 695 Town Center Dr. Costa Mesa, CA 92626 D'� •386 Sr, Igg05 dw y i a l RE: WAMU La Quinta opening for new drive through As Built. Dear Mr. Grant: We have reviewed the as built sketch forwarded to us from you as created by the on site contractor and noted by the city inspector. Only minor modifications were made to our approved plans to accommodate the specific field conditions. - It is our opinion that this as built, (Figure 1) as shown below represents the intent of our design and will accept this. Figure 1 As -Built Please feel free to call if you have any questions or comments. Sincerely, Armour Unsderfer Engineering, LLC Brian Unsderfer, PE Principal CALLISON ARCNI'rECTURE, INC. No. a Date Pa I to From Co. T T714 800 1977; F F 714 800 1978.